A charge nurse is supervising the actions taken by a staff nurse following a client fall. The charge nurse should identify that which of the following actions by the staff nurse indicates an understanding of the procedure?
Sends the incident report to the ethics committee
Lists names of witnesses to the fall in the nurses' notes
Includes the client's account of the fall in the incident report
Documents in the client's record that an incident report was filed
The Correct Answer is C
Choice A reason: This is not an appropriate action by the staff nurse. The incident report should not be sent to the ethics committee, as it is not a part of the client's record and does not involve ethical issues. The incident report should be sent to the risk management department, which is responsible for identifying and preventing potential hazards and liabilities in the health care setting.
Choice B reason: This is not an appropriate action by the staff nurse. The names of witnesses to the fall should not be listed in the nurses' notes, as they are not relevant to the client's care and may violate confidentiality. The names of witnesses should be included in the incident report, which is a confidential document that is not part of the client's record.
Choice C reason: This is an appropriate action by the staff nurse. The client's account of the fall should be included in the incident report, as it provides valuable information about the circumstances and causes of the fall. The incident report should also include the date, time, location, and description of the fall, the staff members involved, the interventions taken, and the client's condition and response.
Choice D reason: This is not an appropriate action by the staff nurse. The fact that an incident report was filed should not be documented in the client's record, as it may imply negligence or fault and may be used as evidence in a legal case. The incident report is a separate document that is used for quality improvement and risk management purposes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This statement is correct, as hospice care provides comprehensive and compassionate care for clients who have a life expectancy of six months or less. Hospice care involves a team of health care professionals, such as physicians, nurses, social workers, chaplains, and volunteers, who address the physical, emotional, social, and spiritual needs of the client and their family.
Choice B reason: This statement is incorrect, as hospice care is not intended for clients at various stages of chronic illness. Hospice care is only for clients who are terminally ill and have decided to forego curative or aggressive treatments.
Choice C reason: This statement is incorrect, as hospice care does not prolong the life expectancy of clients who are terminally ill. Hospice care focuses on improving the quality of life and comfort of the client, not on extending their life span.
Choice D reason: This statement is incorrect, as hospital access is still available for clients who are in hospice care. Hospice care can be provided in various settings, such as the client's home, a hospice facility, a nursing home, or a hospital. Clients who are in hospice care can still be admitted to the hospital if they need acute care or symptom management.
Correct Answer is C
Explanation
Choice A reason: This is not the correct choice because this response is insensitive and unprofessional. The nurse should not blame or criticize the client for signing the consent form, as this may make the client feel guilty or pressured. The nurse should respect the client's autonomy and right to change their mind.
Choice B reason: This is not the correct choice because this response is inadequate and irrelevant. The nurse should not assume that the client needs more information about the surgery, as this may not address the client's underlying reasons for being unsure. The nurse should listen to the client's concerns and provide emotional support.
Choice C reason: This is the correct choice because this response is respectful and reassuring. The nurse should acknowledge the client's feelings and let them know that they have the option to cancel the surgery if they are not comfortable with it. The nurse should also inform the provider and the surgical team about the client's situation and facilitate further discussion if needed.
Choice D reason: This is not the correct choice because this response is inappropriate and unethical. The nurse should not offer medication to the client to help them relax, as this may impair their decision-making capacity and consent. The nurse should not coerce or manipulate the client to undergo the surgery.
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